1. The Future of Prevention: Our Challenges andOpportunities Frances M. Harding, Director SAMHSA’s Center for Substance Abuse Prevention 2011 NCADD Conference of Affiliates Arlington, VA • September 7, 2011

3. Prevention works

4. Treatment is effective

6. Addiction as a complex and chronic disease

7. Recovery as a process rather than an event

8. Ongoing contact and support to complement treatment

9. Natural supports such as friends, peers, and family

11. Drivers of Change

13. Theme: prevent diseases, promote wellness

14. Integrated care: new thinking—recovery, wellness, role of peers, response to whole health needs

15. New opportunities for behavioral health:

16. Parity: Mental Health Parity and Addiction Equality Act and within Affordable Care Act

17. Tribal Law and Order Act

18. National Action Alliance for Suicide Prevention

21. Revised Approach to Grant-Making

22. Prevention Funding for 2012:

23. Substance Abuse-State Prevention Grant ($395 million).

24. Mental Health-State Prevention Grant ($90 million).

26. SAMHSA’S Strategic Initiatives

27. Strategic Initiative 1: Prevention of Substance Abuse and Mental Illness Goal 1.1 With primary prevention as the focus, build emotional health, prevent or delay onset of, and mitigate symptoms and complications from substance abuse and mental illness. Goal 1.2 Prevent or reduce consequences of underage drinking and adult problem drinking. Goal 1.3 Prevent suicides and attempted suicides among populations at high risk, especially military families, LGBTQ youth, and American Indians and Alaska Natives. Goal 1.4 Reduce prescription drug misuse and abuse.

29. Implementation of Tribal Law and Order Act—Office of Indian Alcohol and Substance Abuse

30. Decisions and implementation of prevention funds

31. Evidence of good and modern services:

34. Develop or enhance strategic partnerships for prevention.

35. Think beyond traditional Block Grant populations.

37. Chronic disease indicators—Substance use represents a spectrum of conditions and risk factors as well as social context.